Free Printable Caregiver Allergy Sheet (PDF)

Free Printable Caregiver Allergy Sheet (PDF)

Download the caregiver sheet PDF

 

Download the free PDF

 

Free one-page PDF. US Letter (8.5 × 11). Print at home.

A babysitter or grandparent should not need a long briefing at the door.

This sheet is written for the person who is about to be left in charge: what the child cannot eat, the three food rules, where the epinephrine is, and who to call.

Read it together once. Then use the 10-second handoff at the bottom before you leave.

Print it. Fill it in. Leave it on the counter or tape it inside a kitchen cabinet.

What’s on the page

  • Photo, name, and age
  • Top 9 allergens plus “other”
  • Three food rules: ask first, don’t share, pause when unsure
  • Primary and second medication locations
  • Two phone numbers
  • A four-line handoff: allergy, medication, parent, plan

How to use it

  1. Download the PDF and print one page.
  2. Mark the allergens that apply.
  3. Write locations in plain language (“black pouch, left kitchen drawer”).
  4. Walk through the black box at the bottom before you walk out.

This sheet is for home, after-school care, and grandparents. For school, use the Quick Card and your school’s own forms.

After you print it
If the child is taking a lunch or snack to someone else’s house, label the container. A caregiver should not have to guess which box is safe.

Shop allergy labels: TagMyAllergy stickers

Print it. Pack it. Label it.

Visual reminder only. Follow your child’s physician-signed emergency plan.

More free printables:
Allergy Quick Card PDF · Back-to-School Allergy Checklist PDF